CASE REPORT
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abstractThe
use of bone substitutes in treating large bone defects after femoral
shaft fractures – case report Radu Ciuvică1, Ştefan Cristea2 1Department of Orthopaedics and Traumatology, Clinical Emergency Hospital Bagdasar-Arseni, Bucharest, Romania 2Department of Orthopaedics and Traumatology, Clinical Emergency Hospital Sf. Pantelimon, Bucharest, Romania
Abstract
The femoral
shaft fractures are one of the most frequent and serious traumatic
disorders encountered in orthopaedic practice. Some of them have large
bone defects that complicate the treatment and often result in
nonunion. The use of bone substitutes for the treatment of bone defects
is an effective and low-risk method. The patient is a 26 years old
male, nonsmoker, professional soccer player, victim of a motorvehicle
accident (driver) that resulted in politrauma (multiple rib fractures,
thoracic contusion, head injury, open complex left femoral shaft
fracture Gustilo-Anderson type II, AO type C3, Winquist-Hansen grade
IV). The femoral fracture is surgically treated (close reduction and
internal fixation using an intramedullary unreamed nail, statically
locked). 12 months after the surgical intervention the fracture
hasn’t healed, and an atrophic nonunion developed. The surgical
treatment of the nonunion is performed 13 months after the first
surgical intervention. It consists in opening the nonunion site,
resecting the bone ends and applying a calcium-phosphate based bone
substitute. The postoperative evolution is good and the patient
restarts the athletic activity three years after the intervention.
Key
words:femoral shaft fracture, bone defect, bone substitute
Full
article:
The use of bone substitutes in treating large bone defects after femoral shaft fractures
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